{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:52:38Z","timestamp":1791939158453,"version":"4.3.4"},"reference-count":51,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100016070","name":"ITI Foundation","doi-asserted-by":"publisher","award":["2021\u20101625"],"award-info":[{"award-number":["2021\u20101625"]}],"id":[{"id":"10.13039\/501100016070","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the role of local factors and the association with peri\u2010implantitis and peri\u2010implant soft\u2010tissue dehiscence (PISTD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A randomly selected sample of Norwegian patients who underwent implant therapy in 2014 was examined (242 patients; 732 implants). Clinical and radiographic parameters were recorded, including soft\u2010tissue phenotype, mucosal margin mobility, connection type, platform switching, emergence angle, implant location and presence of adjacent teeth. To account for clustering of implants within patients, mixed\u2010effects logistic regression models were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mucosal margin mobility, bone\u2010level implants without platform switching, emergence angle &gt;\u200945\u00b0, anterior implant location and daily smoking were identified as significant risk indicators for peri\u2010implantitis. Thin soft\u2010tissue phenotype, mucosal margin mobility, absence of adjacent teeth, peri\u2010implantitis and external connection were detected as significant indicators for PISTD. Peri\u2010implantitis and PISTD were present in 8.7% and 25.0% of implants, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Local factors and soft\u2010tissue\u2010related parameters, many modifiable during treatment planning, were associated with peri\u2010implantitis and PISTD. Particular attention should be given to soft\u2010tissue phenotype, connection design, platform switching and prosthetic emergence angle. The relationship between systemic and local risk factors should be further investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70209","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:35:07Z","timestamp":1791938107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Local Factors and Implant\u2010Related Complications: A Population\u2010Sampled Cross\u2010Sectional Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5386-0176","authenticated-orcid":false,"given":"Erik Klepsland","family":"Mauland","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry University of Oslo  Norway"},{"name":"Oral Health Centre of Expertise Rogaland  Haugesund Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8592-7467","authenticated-orcid":false,"given":"Dagmar Foss\u00e5","family":"Bun\u00e6s","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Clinical Dentistry University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4374-9276","authenticated-orcid":false,"given":"Stein\u2010Atle","family":"Lie","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Clinical Dentistry University of Bergen  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4862-9030","authenticated-orcid":false,"given":"Anders","family":"Verket","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry University of Oslo  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","first-page":"44","article-title":"Radiography in Parodontology Using the Long\u2010Cone Parallel Technic: Justification, Technological Principles and Practical Application","volume":"37","author":"Adriaens P. A.","year":"1982","journal-title":"Revue Belge de M\u00e9decine Dentaire"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1111\/jre.70014","article-title":"Soft\u2010Tissue Phenotype Modification as an Adjunct to the Treatment of Peri\u2010Implant Mucositis\u2014A Quasi\u2010Randomized Clinical Trial","volume":"61","author":"Aksu Z.","year":"2025","journal-title":"Journal of Periodontal Research"},{"issue":"10","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1902\/jop.2010.100232","article-title":"Platform Switching for Marginal Bone Preservation Around Dental Implants: A Systematic Review and Meta\u2010Analysis","volume":"81","author":"Atieh M. 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N. R.","year":"2025","journal-title":"Journal of Dentistry"},{"issue":"1","key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1055\/s-0040-1701162","article-title":"Peri\u2010Implantitis and Severity Level","volume":"14","author":"Elemek E.","year":"2020","journal-title":"European Journal of Dentistry"},{"issue":"1","key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/clr.12910","article-title":"Supportive Peri\u2010Implant Therapy Following Anti\u2010Infective Surgical Peri\u2010Implantitis Treatment: 5\u2010Year Survival and Success","volume":"29","author":"Heitz\u2010Mayfield L. J. A.","year":"2018","journal-title":"Clinical Oral Implants Research"},{"issue":"2","key":"e_1_2_8_19_1","first-page":"162","article-title":"Long\u2010Term Dental Implant Survival and Success: A Systematic Review","volume":"227","author":"Howe M. 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